The Journal of the Korean bone and joint tumor society (대한골관절종양학회지)

The Korean Musculoskeletal Tumor Society (대한근골격종양학회)
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Treatment of the Recurrent Giant Cell Thmor

재발성 거대 세포종의 치료

  • Lee, Sang-Hoon (Department of Orthopaedic Surgery, Seoul National University College of Medicine) ;
  • Kim, Han-Soo (Department of Orthopaedic Surgery, Seoul National University College of Medicine) ;
  • Chang, Chong-Bum (Department of Orthopaedic Surgery, Seoul National University College of Medicine) ;
  • Lee, Han-Koo (Department of Orthopaedic Surgery, Seoul National University College of Medicine)
  • 이상훈 (서울대학교 의과대학 정형외과학교실) ;
  • 김한수 (서울대학교 의과대학 정형외과학교실) ;
  • 장종범 (서울대학교 의과대학 정형외과학교실) ;
  • 이한구 (서울대학교 의과대학 정형외과학교실)
  • Published : 1999.03.30
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Abstract

Between Sep. 1986 and Mar. 1996, twenty four patients with recurrent giant cell tumor of their long bones were treated and followed up for more than two years. We applied three different modalities for treatment: curettage with bone graft, curettage and packing with polymethylmethacrylate, wide excision with or without reconstruction. During the average 51.5 months after operation(24-97 months), two of three patients who underwent curettage with bone graft showed recurrence. Patients who underwent wide excision showed no recurrence. Five of fifteen patients who underwent curettage and packing with polymethylmethacrylate showed recurrence. Four of seven who showed recurrence were treated with reapplication of curettage and packing with polymethylmethacrylate. All four patients showed no recurrence, and two of them have been followed up for more than two years. We suggest that the curettage and packing with polymethylmethacrylate is an effective treatment modality of the recurrent giant cell tumor.

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